Define healthy immigrant effect
Immigrants are usually healthier than both the population they left and the population that they joined
Define structural racism
Racism embedded social structures
Describe social exclusion and racism
- Effect on social status and self esteem
- Constraints on resources for healthy living
Describe the mechanisms maintaining racism
Wealth, housing, job opportunity, credit, benefits…
‘Carding’ by police officers
Describe the consequences of social exclusion caused by racism on health
More depression, anxiety
More obesity, coronary heart disease, diabetes
Describe the history of Indigenous peoples in Canada
Residential schools
Models borrowed from other countries
From 1870s to 1990s (or longer)
Separation of children from families
Cutting off culture, language for assimilation
‘Vile’ (p. 209)
Children exploited, abused within the schools
Describe the current status of Indigenous health in Canada
Marooned on the demographic and epidemiological transitions.”
More similar to poor countries than non-indigenous Canadians
Very high death rates
Both infectious and chronic disease
Infant mortality and infectious disease have fallen in some places
Chronic disease remains high
Boil-water advisories
Outcomes of social exclusion
Mental health, family violence, suicide, addictions
Describe macro level patterns
Colonialism, racism
Undermine community self-determination
Describe intermediate level patterns
Provinces avoiding responsibility
Educational quality is inconsistent
Describe individual level patterns
Overcrowding, housing disrepair, house fires
Loss of identity Suicide
High-calorie foods Obesity
Smoking, alcohol consumption
Limited socioeconomic opportunity
Identify some of the current health outcomes that indigenous Canadians experience nowadays
Chronic disease remains high
Very high death rates
Both infectious and chronic disease
Discuss why Indigenous health outcomes continue to occur today
Ideology
Self-ascriptions for success
‘Childlike’, uneducated, othe rprejudices
Practices
Differential access to resources
Majority group denies responsibility
They underplay their own prejudices
